Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
  • A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • A61K38/36—Blood coagulation or fibrinolysis factors
  • A61K38/37—Factors VIII
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
  • A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/0012—Galenical forms characterised by the site of application
  • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
  • A61P7/04—Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/02—Inorganic compounds

Definitions

• the invention relates to a new stable pharmaceutical composition containing factor VIII.
• Factor VIII is a well-known plasma protein that is essential to the blood clotting process and is therefore used in the treatment of haemophilia.
• factor VIII has been used or are intended to be used as active principles for treating haemophilia. These include human factor VIII (like the active principles of Humate ® P, Monoclate ® P, Immunate ® or Hemofil ® M), recombinant human factor VIII (like r-VIII SQ which is described in PCT patent application WO 91/09122 (the active principle of ReFact ® ) or the active principles of Kogenate ® or Recombinate ® ), porcine factor VIII (which is the active principle of the product Hyate:C ® sold by Ipsen, Inc., USA) or recombinant porcine factor VIII (e.g. a modified B-domainless form of porcine factor VIII like the one disclosed in patent application WO 01/68109 and identified as "POL1212" or the protein of SEQ. ID. NO. 38 of the same patent application).
• human factor VIII like the active principles of Humate ® P, Monoclate ® P, Immunate ® or Hemofil
• Formulation stability has always been a problem for the pharmaceutical industry dealing with factor VIII pharmaceutical compositions.
• albumin has often been used to stabilise these formulations. However, despite its interesting stabilising effect, albumin presents the drawback of being expensive and also the risk to carry infectious species like prions. For these reasons, the pharmaceutical industry has been seeking in the recent years to replace albumin by other stabilising agents in factor VIII pharmaceutical compositions.
• said pharmaceutical composition having a pH from 6 to 8 prior to lyophilisation and after reconstitution in water for injection, also shows stability over time.
• factor VIII is meant in the present application human factor VIII, recombinant human factor VIII, porcine factor VIII, recombinant porcine factor VIII or more generally any other recombinant factor VIII that can be used to replace them.
• the factor VIII comprised in compositions according to the invention will be chosen from porcine factor VIII or recombinant porcine factor VIII. Still more preferably, the factor VIII comprised in compositions according to the invention, will be recombinant porcine factor VIII, especially a modified B-domainless form of porcine factor VIII like the one disclosed in patent application WO 01/68109 , i.e. the modified porcine factor VIII having the amino acid sequence SEQ. ID. NO. 1 hereafter:
• the surfactant will be a non-ionic surfactant.
• Non-ionic surfactants include notably polysorbates and block copolymers like poloxamers (i.e. copolymers of polyethylene and propylene glycol).
• the surfactant will be a polysorbate. More preferably, a polysorbate included in a composition according to the instant invention will have a mean polymerisation degree of from 20 to 100 monomer units (preferably about 80), and may for example be polysorbate 80.
• the polysorbate should be vegetable-derived.
• the buffer devoid of amino acids will be tris(hydroxymethyl)methylamine (hereafter abridged “tris").
• the pH of the pharmaceutical composition prior to lyophilisation and after reconstitution in water for injection will be from 6.5 to 7.5, and more preferably about 7.0.
• a solid composition according to the invention will be such that it may be obtained by lyophilisation of a solution devoid of amino acids that comprises:
• the product to be tested is assayed against a Concentrate Standard, such as the United Kingdom standard NIBSC 95/608 (NIBSC for National Institute of Biological Standards and Control).
• porcine unit of factor VIII is meant the United Kingdom national standard unit held by United Kingdom's NIBSC.
• porcine factor VIII units the product to be tested is assayed against the UK national porcine standard NIBSC 86/514.
• Concerning recombinant porcine factor VIII it should be understood that 1 unit of activity for recombinant porcine factor VIII is equivalent to 1 unit of activity for porcine factor VIII.
• a solid composition according to the invention will be such that it may be obtained by lyophilisation of a solution devoid of amino acids that comprises at least one of the following characteristics:
• a solid composition according to the invention will be such that it may be obtained by lyophilisation of a solution devoid of amino acids that comprises at least one of the following characteristics:
• the solid factor VIII compositions according to the invention may be prepared by lyophilising a solution comprising the appropriate quantities of the components identified above as (a), (b), (c), (d), (e), (f) and (g) according to standard manufacturing procedures (sterile conditions, etc.).
• Stability of the composition over a certain period may be determined, for example, by the method described hereunder in the part entitled “Analytical methods", or by any other method found appropriate by the skilled artisan.
• a composition according to the invention is considered stable during a certain period of time if 70% to 130% (and preferably 80% to 120%) of the initial factor VIII activity, as evaluated using the method disclosed the part entitled “ Analytical methods " hereafter, is maintained over said period of time.
• the solid compositions of this invention will be stable for at least 6 or 12 months when kept at a temperature of 2 to 8 °C. More preferably, they will be stable for at least 6 or 12 months when kept at a temperature of 30 to 32 °C.
• the solid factor VIII compositions according to the invention may be diluted with sterile water optionally containing sodium chloride, and the resulting liquid pharmaceutical composition may then be directly injected into a patient in need thereof.
• the resulting liquid pharmaceutical composition, as well as liquid pharmaceutical compositions obtainable by dilution of solid factor VIII compositions according to the invention with sterile water optionally containing sodium chloride, are also part of this invention.
• compositions according to the instant invention are also within the scope of this invention.
• the administration mode contemplated for liquid compositions according to the instant invention will preferably be intravenous administration.
• the dose of composition according to the instant invention which is to be administered will be determined by the treating physician or veterinarian, taking into account the severity of the disease for each patient.
• a solution in 0.5 ml sterile water containing the following components is prepared: Modified porcine factor VIII of sequence SEQ. ID. NO. 1 800 porcine units/ml Vegetable derived polysorbate 80 0.01 % v/v Calcium chloride 2 mM Sucrose 11.7 mM Sodium chloride 0.3 M Tri sodium citrate 10 mM Tris buffer 10 mM pH 7.0
• the mixture is lyophilised in a sterilised vial which is then sealed.
• the solid composition obtained has been tested and shown to be stable at a temperature of 2 to 8 °C for at least 18 months and at 30 to 32°C for at least six months when tested by factor VIII activity. There was no indication of high molecular weight component formation as assessed by Size Exclusion HPLC (SEC HPLC) or fragments as assessed by SDS PAGE.
• the lyophilised mixture obtained would typically be reconstituted with 1.0 ml sterile water before injection into a patient.
• a solution in 1.0 ml sterile water containing the following components is prepared: Modified porcine factor VIII of sequence SEQ. ID. NO. 1 400 porcine units/ml Vegetable derived polysorbate 80 0.002% v/v Calcium chloride 2 mM Sucrose 11.7 mM Sodium chloride 0.3 M Tri sodium citrate 10 mM Tris buffer 10 mM pH 7.0
• the mixture is lyophilised in a sterilised vial which is then sealed.
• the lyophilised mixture obtained would typically be reconstituted with 2.0 ml sterile water before injection into a patient.
• Plasma-derived porcine factor VIII 100 porcine units/ml Vegetable derived polysorbate 80 0.01% v/v Calcium chloride 2 mM Sucrose 11.7 mM Sodium chloride 0.3 M Tri sodium citrate 10 mM Tris buffer 10 mM pH 7.0
• the mixture is lyophilised in a sterilised vial which is then sealed.
• the lyophilised mixture obtained would typically be reconstituted with 1.0 ml sterile water before injection into a patient.
• the factor VIII activity is determined by a modified chromogenic assay (Technochrom FVIII:C Reagent Kit, Technoclone).
• the generation of activated factor X by factor IX is stimulated by factor VIII which acts as a cofactor in the reaction.
• the release of p -nitroaniline from the chromogenic substrate is catalysed by activated factor X.
• the amount of p -nitroaniline which is released is measured photometrically at 405 nm and the assay gives a linear correlation between the amount of p -nitroaniline generated and the FVIII content.
• Soluble high molecular weight components and fragments were determined by gel filtration performed on a HPLC instrument using a TosoHaas TSK G3000 SWXL, 0.78 x 30 cm pre-packed column with a fluorescence detector (Waters LC Module 1 plus). Excitation wavelength 280 nm and emission wavelength 340 nm. Evaluation of the results were performed by integration of the peak areas.
• Stability can be assayed by performing the above described assays at different times on a sample of the same composition held at the temperature chosen (which may be around + 4 °C or + 31 °C). Once its factor VIII activity will have dropped of more than 30%, the composition will be considered to have lost its stability.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Chemical & Material Sciences (AREA)
• Veterinary Medicine (AREA)
• Public Health (AREA)
• Medicinal Chemistry (AREA)
• General Health & Medical Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Pharmacology & Pharmacy (AREA)
• Engineering & Computer Science (AREA)
• Epidemiology (AREA)
• Bioinformatics & Cheminformatics (AREA)
• General Chemical & Material Sciences (AREA)
• Chemical Kinetics & Catalysis (AREA)
• Hematology (AREA)
• Proteomics, Peptides & Aminoacids (AREA)
• Oil, Petroleum & Natural Gas (AREA)
• Zoology (AREA)
• Immunology (AREA)
• Gastroenterology & Hepatology (AREA)
• Molecular Biology (AREA)
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• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Dermatology (AREA)
• Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
• Medicinal Preparation (AREA)
• Peptides Or Proteins (AREA)

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• 2002
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• 2003
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